Abstract
Migration can affect the mental health of migrants. This cross-sectional study has two objectives: (1) to compare the prevalence of common mental disorder (CMD) between migrants (n = 458) living in Granada (Spain) and Spanish-born women (n = 448); (2) within migrants, to analyse the associations of world region of origin, other sociodemographic factors and post-migration features with the presence of CMD. Participants answered a questionnaire, including sociodemographic characteristics, post-migration features and CMD that was measured by Kessler K6-scale. Logistic regression analyses showed that CMD (K6 ≥ 13) was significantly higher among migrants than Spaniards. Compared with Spaniards, the odds of CMD were 3.6 [95 % confidence intervals (CI) 2.1–6.0] and 2.9 (CI 1.6–5.3), respectively, for Latin Americans and for Moroccan and other African women. Among migrants, Latin Americans as opposed to the reference group (migrants from other countries), had higher probability of CMD (OR 2.3, CI 1.1–4.9). This study supports the hypothesis that migration leads to mental distress. Consideration of world region of origin may clarify the differences observed in mental health across different migrant groups.
Similar content being viewed by others
References
Bergeron P, Auger N, Hamel D. Weight, general health and mental health: status of diverse subgroups of immigrants in Canada. Can J Public Health. 2009;100(3):215–20.
Kirmayer LJ, Narasiah L, Munoz M, Rashid M, Ryder AG, Guzder J, Hassan G, Rousseau C, Pottie K. Canadian Collaboration for Immigrant and Refugee Health (CCIRH). Common mental health problems in immigrants and refugees: general approach in primary care. CMAJ. 2011;183(12):E959–67.
Stafford M, Newbold BK, Ross NA. Psychological distress among immigrants and visible minorities in Canada: a contextual analysis. Int J Soc Psychiatry. 2011;57(4):428–41.
Blair AH, Schneeberg A. Changes in the ‘healthy migrant effect’ in Canada: are recent immigrants healthier than they were a decade ago? J Immigr Minor Health. 2013;. doi:10.1007/s10903-013-9813-9.
Dey AN, Lucas JW. Physical and mental health characteristics of US-and foreign-born adults: United States, 1998–2003. Adv Data. 2006;369:1–19.
Grant BF, Stinson FS, Hasin DS, Dawson DA, Chou SP, Anderson K. Immigration and lifetime prevalence of DSM-IV psychiatric disorders among Mexican Americans and non-Hispanic whites in the United States: results from the national epidemiologic survey on alcohol and related conditions. Arch Gen Psychiatry. 2004;61(12):1226–33.
Breslau J, Aguilar-Gaxiola S, Borges G, Kendler KS, Su M, Kessler RC. Risk for psychiatric disorder among immigrants and their US-born descendants: evidence from the National Comorbidity Survey Replication. J Nerv Ment Dis. 2007;195(3):189–95.
Alegría M, Canino G, Shrout PE, Woo M, Duan N, Vila D, Torres M, Chen CN, Meng XL. Prevalence of mental illness in immigrant and non-immigrant US Latino groups. Am J Psychiatry. 2008;65(3):359–69.
González HM, Tarraf W, Whitfield KE, Vega WA. The epidemiology of major depression and ethnicity in the United States. J Psychiatr Res. 2010;44(15):1043–51.
Mollica RF, Sarajlic N, Chernoff M, Lavelle J, Vukovic IS, Massagli MP. Longitudinal study of psychiatric symptoms, disability, mortality, and emigration among Bosnian refugees. JAMA. 2001;286(5):546–54.
Fuller-Thomson E, Noack AM, George U. Health decline among recent immigrants to Canada: findings from a nationally-representative longitudinal survey. Can J Public Health. 2011;102(4):273–80.
Weich S, Nazroo J, Sproston K, McManus S, Blanchard M, Erens B, Karlsen S, King M, Lloyd K, Stansfeld S, Tyrer P. Common mental disorders and ethnicity in England: the EMPIRIC study. Psychol Med. 2004;34(8):1543–51.
Levecque K, Lodewyckx I, Vranken J. Depression and generalised anxiety in the general population in Belgium: a comparison between native and immigrant groups. J Affect Disord. 2007;97(1–3):229–39.
de Wit MA, Tuinebreijer WC, Dekker J, Beekman AJ, Gorissen WH, Schrier AC, Penninx BW, Komproe IH, Verhoeff AP. Depressive and anxiety disorders in different ethnic groups: a population based study among native Dutch, and Turkish, Moroccan and Surinamese migrants in Amsterdam. Soc Psychiatry Psychiatr Epidemiol. 2008;43(11):905–12.
Wittig U, Lindert J, Merbach M, Brähler E. Mental health of patients from different cultures in Germany. Eur Psychiatry. 2008;23(Suppl 1):28–35.
Gater R, Tomenson B, Percival C, Chaudhry N, Waheed W, Dunn G, Macfarlane G, Creed F. Persistent depressive disorders and social stress in people of Pakistani origin and white Europeans in UK. Soc Psychiatry Psychiatr Epidemiol. 2009;44(3):198–207.
Aerny Perreten N, Ramasco Gutiérrez M, Cruz Maceín JL, Rodríguez Rieiro C, Garabato González S, Rodríguez Laso A. Health and its determinants in the immigrant population of the region of Madrid. Gac Sanit. 2010;24(2):136–44.
Del Amo J, Jarrín I, García-Fulgueiras A, Ibáñez-Rojo V, Alvarez D, Rodríguez-Arenas MA, García-Pina R, et al. Mental health in Ecuadorian migrants from a population-based survey: the importance of social determinants and gender roles. Soc Psychiatry Psychiatr Epidemiol. 2011;46(11):1143–52.
Abebe DS, Lien L, Hjelde KH. What we know and don’t know about mental health problems among immigrants in Norway. J Immigr Minor Health. 2012;. doi:10.1007/s10903-012-9745-9.
Villarroel N, Artazcoz L. Heterogeneous patterns of health status among immigrants in Spain. Health Place. 2012;18(6):1282–91.
Thapa SB, Hauff E. Gender differences in factors associated with psychological distress among immigrants from low- and middle-income countries. Findings from the Oslo Health Study. Soc Psychiatry Psychiatr Epidemiol. 2005;40(8):78–84.
Chou KL. Psychological distress in migrants in Australia over 50 years old: a longitudinal investigation. J Affect Disord. 2007;98(1–2):99–108.
Mirsky J, Kohn R, Levav I, Grinshpoon A, Ponizovsky AM. Psychological distress and common mental disorders among immigrants: results from the Israeli-based component of the world mental health survey. J Clin Psychiatry. 2008;69(11):1715–20.
Fassaert T, De Wit MA, Tuinebreijer WC, Knipscheer JW, Verhoeff AP, Beekman AT, Dekker J. Acculturation and psychological distress among non-Western Muslim migrants-a population-based survey. Int J Soc Psychiatry. 2011;57(2):132–43.
Andrade LH, Wang YP, Andreoni S, Silveira CM, Alexandrino-Silva C, Siu ER, Nishimura R, Anthony JC, Gattaz WF, Kessler RC, Viana MC. Mental disorders in megacities: findings from the São Paulo megacity mental health survey, Brazil. PLoS One. 2012;7(2):e31879.
Wong DF, He X, Leung G, Lau Y, Chang Y. Mental health of migrant workers in China: prevalence and correlates. Soc Psychiatry Psychiatr Epidemiol. 2008;43(6):483–9.
Irfaeya M, Maxwell AE, Krämer A. Assessing psychological stress among Arab migrant women in the city of Cologne/Germany using the Community Oriented Primary Care (COPC) approach. J Immigr Minor Health. 2008;10(4):337–44.
Griffin J, Soskolne V. Psychological distress among Thai migrant workers in Israel. Soc Sci Med. 2003;57(5):769–74.
Breslau J, Borges G, Tancredi D, Saito N, Kravitz R, Hinton L, Vega W, Medina-Mora ME, Aguilar-Gaxiola S. Migration from Mexico to the United States and subsequent risk for depressive and anxiety disorders: a cross-national study. Arch Gen Psychiatry. 2011;68(4):428–33.
Ryan L, Leavey G, Golden A, Blizard R, King M. Depression in Irish migrants living in London: case-control study. Br J Psychiatry. 2006;188(6):560–6.
Hovey JD, Magaña CG. Cognitive, affective, and physiological expressions of anxiety symptomatology among Mexican migrant farmworkers: predictors and generational differences. Community Ment Health J. 2002;38(3):223–37.
Simich L, Wu F, Nerad S. Status and health security: an exploratory study of irregular immigrants in Toronto. Can J Public Health. 2007;98(5):369–73.
Demyttenaere K, Bruffaerts R, Posada-Villa J, Gasquet I, Kovess V, Lepine JP, Angermeyer MC, Bernert S, de Girolamo G, Morosini P, Polidori G, Kikkawa T, Kawakami N, Ono Y, Takeshima T, Uda H, Karam EG, Fayyad JA, Karam AN, Mneimneh ZN, Medina-Mora ME, Borges G, Lara C, de Graaf R, Ormel J, Gureje O, Shen Y, Huang Y, Zhang M, Alonso J, Haro JM, Vilagut G, Bromet EJ, Gluzman S, Webb C, Kessler RC, Merikangas KR, Anthony JC, Von Korff MR, Wang PS, Brugha TS, Aguilar-Gaxiola S, Lee S, Heeringa S, Pennell BE, Zaslavsky AM, Ustun TB, Chatterji S. WHO World Mental Health Survey Consortium. Prevalence, severity, and unmet need for treatment of mental disorders in the World Health Organization World Mental Health Surveys. JAMA. 2004;291(21):2581–90.
Kessler RC, Aguilar-Gaxiola S, Alonso J, Chatterji S, Lee S, Ormel J, Ustün TB, Wang PS. The global burden of mental disorders: an update from the WHO World Mental Health (WMH) surveys. Epidemiol Psichiatr Soc. 2009;18(1):23–33.
Seedat S, Scott KM, Angermeyer MC, Berglund P, Bromet EJ, Brugha TS, Demyttenaere K, de Girolamo G, Haro JM, Jin R, Karam EG, Kovess-Masfety V, Levinson D, Medina Mora ME, Ono Y, Ormel J, Pennell BE, Posada-Villa J, Sampson NA, Williams D, Kessler RC. Cross-national associations between gender and mental disorders in the World Health Organization World Mental Health Surveys. Arch Gen Psychiatry. 2009;66(7):785–95.
UNFPA. Estado de la Población Mundial 2006. Hacia la esperanza: las mujeres y la migración internacional. Nueva York: UNFPA; 2006.
Kessler RC, Barker PR, Colpe LJ, Epstein JF, Gfroerer JC, Hiripi E, Howes MJ, Normand SL, Manderscheid RW, Walters EE, Zaslavsky AM. Screening for serious mental illness in the general population. Arch Gen Psychiatry. 2003;60(2):184–9.
Kessler RC, Green JG, Gruber MJ, Sampson NA, Bromet E, Cuitan M, Furukawa TA, Gureje O, Hinkov H, Hu CY, Lara C, Lee S, Mneimneh Z, Myer L, Oakley-Browne M, Posada-Villa J, Sagar R, Viana MC, Zaslavsky AM. Screening for serious mental illness in the general population with the K6 screening scale: results from the WHO World Mental Health (WMH) survey initiative. Int J Methods Psychiatr Res. 2010;19(Suppl 1):4–22.
Araya R, Wynn R, Lewis G. Comparison of two self administered psychiatric questionnaires (GHQ-12 and SRQ-20) in primary care in Chile. Soc Psychiatry Psychiatr Epidemiol. 1992;27(4):168–73.
Berra S, Elorza-Ricart JM. Salud y uso de los servicios sanitarios en población inmigrante y autóctona de España (Health and use of health care services among immigrant and native of Spain). Madrid: Plan de Calidad para el Sistema Nacional de Salud. Ministerio de Ciencia e Innovación. Agència d’Avaluació de Tecnologia i Recerca Mèdiques de Cataluña. Informes de Evaluación de Tecnologías Sanitarias, AATRM Núm. 2007/08, 2009.
Antón JI, de Bustillo RM. Health care utilisation and immigration in Spain. Eur J Health Econ. 2010;11(5):487–98.
Llácer A, Amo JD, García-Fulgueiras A, Ibáñez-Rojo V, García-Pino R, Jarrín I, Díaz D, Fernández-Liria A, García-Ortuzar V, Mazarrasa L, Rodríguez-Arenas MA, Zunzunegui MV. Discrimination and mental health in Ecuadorian immigrants in Spain. J Epidemiol Community Health. 2009;63(9):766–72.
Agudelo-Suárez AA, Ronda-Pérez E, Gil-González D, Vives-Cases C, García AM, Ruiz-Frutos C, Felt E, Benavides FG. The effect of perceived discrimination on the health of immigrant workers in Spain. BMC Public Health. 2011;11:652.
Actis W, Pereda C, de Prada MA. Experiences of discrimination of minorities in Spain. Against Immigrants and Roma. European Monitoring Centre on Racism and Xenophobia. Ref No 2002/02/01 http://www.colectivoioe.org/. Accessed 8 June 2013.
Grewal S, Bottorff JL, Hilton BA. The influence of family on immigrant South Asian women’s health. J Fam Nurs. 2005;11(3):242–63.
Norredam N, García-Lopez A, Keiding N, Krasnik A. Risk of mental disorders in family reunification migrants and native Danes: a register-based historically prospective cohort study. Int J Public Health. 2010;55(4):413–9.
Acknowledgments
The authors acknowledge all the participants, particularly the migrant women and agencies serving migrants, for their contribution to this study. The authors have received institutional support from the University of Granada.
Conflict of interest
None.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Jurado, D., Mendieta-Marichal, Y., Martínez-Ortega, J.M. et al. World Region of Origin and Common Mental Disorders Among Migrant Women in Spain. J Immigrant Minority Health 16, 1111–1120 (2014). https://doi.org/10.1007/s10903-013-9927-0
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10903-013-9927-0